Billing Representative

City of Lincoln; Ridgefield Park (NJ); On-site; USD 26,000 - 29,000; Full time

Job summary

SpecialtyRx, Inc. in Ridgefield Park, NJ, is seeking a Billing Representative with pharmacy experience to handle patient billing, insurance verifications, and prior authorizations in a fast-paced office.

Hours are 12:00pm-8:00pm, Monday through Friday with rotating weekends; training will occur onsite for 3 weeks before transitioning to regular duties. Strong communication and multitasking are essential.

Qualifications

• Must have high school diploma or equivalent.
• Experience in Retail pharmacy is a must.
• Pharmacy billing experience highly preferred.
• Ability to work nights and weekends.
• Courteous and polite phone skills.

Responsibilities

• Perform duties assigned by the Billing Supervisor.
• Research and establish patient eligibility coverage with insurance providers (state and private).
• Determine and process insurance rejections by the daily report.
• Maintain and update patient billing and insurance information in the system.
• Submit prior authorizations for State insurance.
• Interact with the insurance company on daily basis regarding overrides, rejections, and insurance updates.
• Interact with client facilities staff, PDP (Medicare), CMS, NJM, and NYM when necessary.
• Follow up and resolve pending billing issues.

Skills

Phone skills

Detail oriented

Multitasking

Teamwork

Education

High school diploma

Tools

Frameworks/ECM

Job description

• Location 2 Bergen Turnpike,Ridgefield Park, NJ, 07660,United States
• Base Pay $19.00 - $21.00 / Hour
• Job Category #billing, #billingrep, #pharmacytechnician
• Employee Type Full Time
• Required Degree High school

Contact information

• Phone [phone] X 4017

Description

SpecialtyRx is a full-service pharmacy. We need Billing Representative with Pharmacy experience in our Ridgefield Park, NJ location.Hours:12:00pm-8:00pm, Monday through Friday and rotating weekends

Must be able to train for 3 weeks onsite

• Perform duties assigned by the Billing Supervisor.
• Research and establish patient eligibility coverage with insurance providers (state and private)
• Determine and process insurance rejections by the daily report.
• Maintain and update patient billing and insurance information in the system.
• Submit prior authorizations for State insurance.
• Interact with the insurance company on daily basis regarding overrides, rejections, and insurance updates.
• Interact with client facilities staff, PDP (Medicare), CMS, NJM, and NYM when necessary.
• Follow up and resolved pending billing issues.
• H.S. diploma or equivalent.
• Courteous and polite phone skills.
• Ability to work nights and weekends.
• Previous experience in Retail pharmacy is a must.
• Experience in Long Term Care Pharmacy. (Preferred)
• Must be able to work independently and as a team.
• The ability to multitask and work in a fast-paced environment is a must.
• Experience in New York Pharmacy billing claims. (Preferred)
• Frameworks/ECM knowledge is a plus.
• Must be detail-oriented.

EEO Statement:

Specialty Rx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local law.